JP4368410B1 - Catheter handle - Google Patents

Abstract

An object of the present invention is to provide a catheter handle excellent in operability and capable of maintaining the shape while the distal end of the catheter is bent.
A handle body includes a handle main body, an operation portion that is attached to the handle main body so as to be movable in an axial direction, and an elastic member that is attached between the handle main body and the operation portion. A central shaft portion 28 that constitutes an operating portion enters the inner periphery of the main body 24, and a tapered surface 40 having a smaller outer diameter in the distal end direction is formed on the outer peripheral surface thereof, and an elastic surface is formed on the outer peripheral surface of the tapered surface 40. The inner peripheral surface of the member 42 is movable in the axial direction, and the distal end portion of the catheter tube 4 is bent by moving the operation portion from the proximal end toward the distal end direction with respect to the handle body 24. At the same time, the elastic member 42 is relatively moved in the axial direction toward the side of the tapered surface 40 having the larger outer diameter, and a tapered surface 48 is formed on the inner peripheral surface of the elastic member 42.
[Selection] Figure 5

Description

  The present invention relates to a catheter handle excellent in operability.

  Various catheters have been proposed as medical catheters. A catheter handle is usually provided on the proximal end side of the catheter. Various catheter handles have been proposed depending on the type of catheter.

  For example, there is a case where the distal end portion of the catheter is desired to be bent or extended by operating the operation portion of the catheter handle.

  As a catheter handle used in such a case, as shown in Patent Document 1 below, for example, a handle having a piston structure in which a drive member is incorporated in a long cylinder has been proposed. In this conventional handle, the outer diameter of the piston and the inner diameter of the cylinder are constant along the axial direction.

  Depending on how the catheter is used, it may be desirable to insert the distal end of the catheter into the patient's body and maintain the shape while the distal end of the catheter is bent. In such a case, it is necessary to brake the axial movement of the operating portion with respect to the catheter handle. Therefore, a structure has been proposed in which a ring-shaped elastic member such as an O-ring is mounted between the outer periphery of the piston and the inner periphery of the cylinder so that the operating portion of the catheter handle can be braked at any position in the axial direction. Yes.

However, with the conventional handle, the outer diameter of the piston and the inner diameter of the cylinder are constant along the axial direction. Therefore, when attempting to improve braking performance, the operation of moving the operating section with respect to the handle becomes heavy from the beginning. There is a problem that it is difficult to do. In addition, when the operability is improved, there is a problem that the brake performance is lowered.
JP 2003-319915 A

Therefore, in order to solve the above-mentioned problem, the present applicant has proposed a structure in which a taper having a smaller outer diameter in the distal end direction is formed on the outer periphery of the piston (Japanese Patent Application Nos. 2008-132514 and 2008). -132516).
However, in the handle having such a structure, when the distal end of the bent catheter is returned to a straight state depending on conditions (when the elastic member is relatively moved to the side having a smaller outer diameter in the taper), the inner end of the elastic member The peripheral surface may be separated from the outer peripheral surface (tapered surface) of the piston, and it becomes impossible to apply a tightening force, which may cause problems in operability such as the distal end of the catheter suddenly returning to a straight state. I understood.

  The present invention has been made in view of such a situation, and an object of the present invention is to provide a catheter handle that is excellent in operability and can hold the shape while the distal end of the catheter is bent. Another object of the present invention is to provide a catheter handle that is excellent in operability and can return the distal end of a bent catheter tube to a straight line slowly and smoothly.

(1) In order to achieve the above object, a catheter handle according to the present invention comprises:
The handle body,
An operation unit that is mounted so as to be movable in the axial direction with respect to the handle body;
A ring-shaped elastic member mounted between the handle body and the operation unit;
The proximal end of the catheter tube is fixed to the operation part,
The elastic member is attached to the handle body,
A middle shaft portion constituting the operation unit enters the inner periphery of the handle body,
On the outer peripheral surface of the middle shaft portion entering the inner periphery of the handle body, a tapered surface having a smaller outer diameter in the distal end direction is formed.
The inner peripheral surface of the elastic member is in contact with the outer peripheral surface of the tapered surface, and is configured to be movable in the axial direction.
In the catheter tube, an operation wire is inserted,
The distal end of the manipulation wire is secured to a portion of the distal end of the catheter tube;
A proximal end of the operating wire is fixed to a part of the handle body;
The distal end portion of the catheter tube is bent by moving the operating portion from the proximal end toward the distal end relative to the handle body, and the elastic member has an outer diameter at the tapered surface. Move relatively in the axial direction to the larger side,
A taper surface is formed on the inner peripheral surface of the elastic member.

(2) Preferably, the distal end portion of the catheter tube is changed from a straight state to a bent state by moving the operation portion from the proximal end toward the distal end with respect to the handle body. The elastic member relatively moves in the axial direction toward the side having a larger outer diameter on the tapered surface formed on the outer peripheral surface of the central shaft portion.

(3) Preferably, the inclination angle of the tapered surface formed on the inner peripheral surface of the elastic member is larger than the inclination angle of the tapered surface formed on the outer peripheral surface of the central shaft portion.

(4) Preferably, the minimum inner diameter of the tapered surface formed on the inner peripheral surface of the elastic member is equal to or smaller than the minimum outer diameter of the tapered surface formed on the outer peripheral surface of the middle shaft portion.

(5) Preferably, the maximum inner diameter of the tapered surface formed on the inner peripheral surface of the elastic member is equal to or greater than the maximum outer diameter of the tapered surface formed on the outer peripheral surface of the middle shaft portion.

(6) Preferably, the minimum inner diameter of the tapered surface formed on the inner peripheral surface of the elastic member and the minimum outer diameter of the tapered surface formed on the outer peripheral surface of the middle shaft portion are substantially the same.
The maximum inner diameter of the tapered surface formed on the inner peripheral surface of the elastic member is substantially the same as the maximum outer diameter of the tapered surface formed on the outer peripheral surface of the central shaft portion.

(7) Preferably, it has a backup ring on which the elastic member is mounted with being sandwiched from both axial sides of the handle body.
(8) Preferably, a tapered surface having a smaller inner diameter in the distal end direction is formed on the inner peripheral surface of the elastic member.

  According to the present invention, the shape of the catheter tube can be maintained while the distal end of the catheter is bent, and the operability of returning the bent distal end of the catheter tube to the original shape slowly and smoothly. An excellent catheter handle can be provided.

Hereinafter, the present invention will be described based on embodiments shown in the drawings.
1 is an overall perspective view of a catheter according to an embodiment of the present invention, FIG. 2 is a cross-sectional view of a main part of the catheter handle shown in FIG. 1, and FIG. 3 is a further main part of FIG. 4 is a cross-sectional view showing a state in which the operating portion is moved to the distal end side from the state of FIG.

  The catheter handle 20 of the present embodiment includes a handle main body 24, an operation unit (operation knob 22 and a middle shaft portion 28) that are attached to the handle main body 24 so as to be movable in the axial direction, a handle main body 24, and an operation unit. And an O-ring 42 which is a ring-shaped elastic member mounted between the backup ring 41 and the backup ring 41 and 43 which are mounted by sandwiching the O-ring 42 from both sides in the axial direction of the handle body 24. The proximal end of the catheter tube 4 is fixed, an O-ring 42 and backup rings 41 and 43 are attached to the handle main body 24, and a central shaft portion 28 that constitutes an operation unit enters the inner periphery of the handle main body 24. A tapered surface 40 whose outer diameter decreases toward the distal end is formed on the outer peripheral surface of the middle shaft portion 28 that enters the inner periphery of the handle body 24. The outer peripheral surface is configured to be movable in the axial direction by contacting the inner peripheral surface of the O-ring 42, the operation wire 30 is inserted into the catheter tube 4, and the distal end of the operation wire 30 is arranged. The end is fixed to a part of the distal end of the catheter tube 4, the proximal end of the operation wire 30 is fixed to a part of the handle body 24, and the operation unit is proximal to the handle body 24. By moving from the end toward the distal end, the distal end portion of the catheter tube 4 changes from a straight state to a bent state, and the O-ring 42 extends in the axial direction toward the side having the larger outer diameter on the tapered surface 40. The inner surface of the O-ring 42 is relatively moved, and a taper surface having a smaller inner diameter in the distal end direction is formed.

  As shown in FIG. 1, a tip deflection operable catheter 2 according to an embodiment of the present invention is used, for example, for diagnosis or treatment of arrhythmia in the heart, and a distal end portion of a catheter tube (tube member) 4. In addition, a tip 10 and a plurality of intermediate rings 12 are mounted. The tip 10 and the intermediate ring 12 function as electrodes, and are connected and fixed to the catheter tube 4 by bonding with an adhesive, for example.

  A handle 20 is attached to the proximal end of the catheter tube 4. Conductor wires are respectively passed through the catheter tube 4 and the handle 20, and the tips thereof are electrically connected to the tip 10 and the intermediate ring 12 constituting the electrodes. Further, the base ends of these conductive wires are connected to a connector 21 fixed to the rear end portion of the handle 20 shown in FIG. The handle 20 is provided with an operation knob 22 for performing a deflection movement operation (swing operation) of the distal end portion of the catheter tube 4.

  The catheter tube 4 is composed of a hollow tube member, and may be composed of a tube having the same characteristics along the axial direction. A proximal end portion that is integrally formed axially with the distal end portion and is relatively stiffer than the distal end portion. In FIG. 1, the length of the catheter tube 4 is shown to be short, but actually, it is several times to several tens of times longer than the axial length of the handle 20.

  The catheter tube 4 is made of a synthetic resin such as polyolefin, polyamide, polyether polyamide, or polyurethane. The outer diameter of the catheter tube 4 is generally about 0.6 to 3 mm, and the inner diameter is about 0.5 to 2.5 mm. Conductive wires connected to the distal tip 10 and the intermediate ring 12 constituting the electrode shown in FIG. 1 are insulated and passed through the axial lumen of the catheter tube 4.

  The tip 10 and the intermediate ring 12 shown in FIG. 1 are made of a metal having good electrical conductivity, such as aluminum, copper, stainless steel, gold, or platinum. It should be noted that the tip 10 and the intermediate ring 12 are preferably made of platinum or the like in order to provide a good contrast for X-rays. The outer diameters of the distal tip 10 and the intermediate ring 12 are not particularly limited, but are preferably about the same as the outer diameter of the catheter tube 4 and are usually about 0.5 to 3 mm.

  A swinging member is accommodated in the vicinity of the distal end of the catheter tube 4. The swinging member is not particularly limited, and is constituted by, for example, a leaf spring. The distal end of the operation wire 30 shown in FIGS. 2 to 4 is connected and fixed to the leaf spring as the swinging member.

  The outer diameter of the operation wire 30 is not particularly limited, but is preferably 0.01 to 0.3 mm, and more preferably 0.03 to 0.08 mm. The operation wire 30 is made of, for example, a Ni—Ti superelastic alloy, but is not necessarily made of metal. The operation wire 30 may be composed of, for example, a high-strength non-conductive wire.

  In the present embodiment, the proximal end of the operation wire 30 is fixed to the wire tension adjuster 32 as shown in FIG. 2 after adjusting the tension of the operation wire 30. The wire tension adjuster 32 is mounted in the handle body 24 of the handle 20 so as to be movable in the axial direction. By fixing the wire tension adjustment tool 32 at a predetermined axial position inside the handle body 24, the tension of the operation wire 30 can be adjusted.

  As shown in FIG. 2, the proximal end of the catheter tube 4 is fixed to the operation knob 22 and the middle shaft portion 28 via the sheath tube 26. The operation knob 22 and the middle shaft portion 28 correspond to the operation unit. The middle shaft portion 28 is inserted into a shaft hole 25 formed in the handle body 24 and is movable in the axial direction with respect to the handle body 24.

  The operator can hold the handle body 24 with one hand, operate the operation knob 22 with the finger of one hand, and move the middle shaft portion 28 relative to the handle body 24 in the axial direction. Since the middle shaft portion 28 is connected and fixed to the proximal end of the catheter tube 4, when the middle shaft portion 28 is moved in the axial direction with respect to the handle body 24, the catheter tube 4 is moved closer to the operation wire 30. The top end moves relative to the axial direction. The distal end of the operation wire 30 is fixed to a swinging member provided in the vicinity of the distal end of the catheter tube 4, and the proximal end of the operation wire 30 is fixed to the handle 20. It is fixed to.

  When the middle shaft portion 28 is moved to the distal end side, the proximal end of the catheter tube 4 is relatively moved to the distal end side while the proximal end of the operation wire 30 is fixed to the wire tension adjuster 32. In this case, the operation of the middle shaft portion 28 applies tension to the operation wire 30 and the catheter tube 4 is applied with a force compressing in the axial direction. Since the operation wire 30 and the catheter tube 4 hardly change in axial length, the catheter tube 4 and the operation wire 30 are bent. As a result, as shown in FIG. 1, the distal end portion of the catheter tube 4 performs a swing deflection operation as indicated by an arrow A.

  That is, the distal end of the catheter 2 can be bent and moved in the direction A by operating the operation knob 22 of the handle 20 shown in FIG. If the handle 20 is rotated around the axis, the direction in the A direction relative to the catheter 2 can be freely set while being inserted into the body cavity.

  In the present embodiment, as shown in FIGS. 3 and 4, a tapered surface 40 is formed on the outer peripheral surface of the central shaft portion 28. The tapered surface 40 is a tapered surface having an outer diameter that decreases toward the distal end side of the handle body 24. The axial length of the tapered surface 40 is preferably equal to or greater than the range length in which the operation knob 22 can move relative to the handle body 24 in the axial direction. Specifically, the axial length of the tapered surface 40 is preferably 5 to 20 mm. The taper inclination angle of the taper surface 40 is preferably an angle of 0.1 to 2.0 degrees with respect to the axis.

  The maximum outer diameter of the tapered surface 40 is equal to or smaller than the inner diameter of the shaft hole 25 shown in FIG. 2 and is determined so that the middle shaft portion 28 can move in the axial direction X within the shaft hole 25. The The axial length of the middle shaft portion 28 is preferably 40 to 80 mm longer than the axial length of the tapered surface 40.

  A male screw portion 51 is formed on the outer periphery of the distal end 24 a of the handle body 24, and a female screw portion 52 is formed on the inner periphery of the tip cap 44. The male screw part 51 and the female screw part 52 are screw-coupled. The inner diameter of the distal end 44a of the tip cap 44 is smaller than the inner diameter of the inner periphery of the tip cap 44 in which the female screw portion 52 is formed. A ring groove 46 is formed between the distal end 24 a of the handle body 24 and the distal end 44 a of the tip cap 44 and between the inner periphery of the female screw portion 52 and the outer periphery of the central shaft portion 28. .

  In the ring groove 46, an O-ring 42, which is a ring-shaped elastic member, and backup rings 41 and 43 are mounted on both sides in the axial direction. By screwing the male thread portion 51 of the handle body 24 into the female thread portion 52 of the tip cap 44, the axial length of the ring groove 46 is adjusted, and the O-ring 42 sandwiched between the backup rings 41 and 43 is moved in the axial direction. As a result, the tightening force of the O-ring 42 against the tapered surface 40 of the middle shaft portion 28 changes.

  As shown in FIG. 5, the axial width t0 of the O-ring 42 is preferably 0.5 to 4 mm. Moreover, the axial widths t1 and t2 of the backup rings 41 and 43 may be the same or different. By making the width t1 and the width t2 the same, the cost for manufacturing the backup ring can be reduced.

  The axial width t0 of the O-ring 42 is preferably equal to or greater than the axial widths t1 and t2 of the backup rings 41 and 43. 3 and 4, the axial gap width t4 formed between the proximal end 44b of the cap 44 and the handle body 24 is adjusted by the widths t1 and t2 of the backup rings 41 and 43. be able to. It is preferable to adjust the widths t1 and t2 of the backup rings 41 and 43 so that the gap width t4 is as small as possible.

  The backup rings 41 and 43 have the same inner diameter D2. In the state where no external force is applied to the backup rings 41 and 43, the inner diameter D2 is preferably substantially equal to the maximum outer diameter D1 of the tapered surface 40 of the central shaft portion 28. However, the inner diameter D2 is 0.05 to more than the maximum outer diameter D1. You may be comprised about 0.1 mm large.

  The outer diameter D4 of the O-ring 42 and the backup ring 43 is equal to the inner diameter of the distal end 24a of the handle body 24. The outer diameter D3 of the backup ring 41 that contacts the distal end 44a of the tip cap 44 is smaller than the inner diameter of the cap 44 in the ring groove 46 and larger than the inner diameter D5 of the distal end 44a of the cap 44.

  In FIG. 5, the outer diameter D3 of the backup ring 41 is drawn larger than the outer diameter of the backup ring 43, but actually, the outer diameter D3 of the backup ring 41 and the outer diameter D4 of the backup ring 43 are equal. It is preferable. With such a configuration, the cost for manufacturing the backup rings 41 and 43 can be further reduced.

  The O-ring 42 is made of rubber such as silicone rubber, nitrile rubber, or fluorine rubber, or synthetic resin, for example. The backup rings 41 and 43 are preferably made of, for example, a fluororesin or a metal. The backup rings 41 and 43 preferably have smaller frictional resistance (or slippery) and higher hardness (or higher Young's modulus) than the O-ring 42.

  The O-ring 42 preferably has a JIS-A hardness of 30 to 70, and the backup rings 41 and 43 have a JIS-D hardness of 40 or more. In addition, JIS-A hardness said by this invention refers to the physical-property value measured based on JIS specification K-6301.

In the catheter handle 20 of the present embodiment, the inner peripheral surface of the O-ring 42 is formed with a tapered surface whose inner diameter decreases in the distal end direction.
FIG. 6 is a cross-sectional view showing the O-ring in a state where no external force is applied. In the O-ring 42, the direction in which the inner diameter decreases is the distal end direction (the outer diameter of the tapered surface 40 of the central shaft portion 28 is smaller). Accordingly, the tapered surface 48 of the O-ring 42 has a smaller inner diameter toward the distal end side.

  The inclination angle of the taper surface 48 of the O-ring 42 is preferably larger than the inclination angle (preferably 0.1 to 2.0 degrees) of the taper surface 40 of the middle shaft portion 28, and specifically, with respect to the axis. It is preferably 2.0 to 15.0 degrees.

The minimum inner diameter D6 of the tapered surface 48 of the O-ring 42 is preferably equal to or smaller than the minimum outer diameter of the tapered surface 40 of the middle shaft portion 28, and is substantially the same as the minimum outer diameter of the tapered surface 40 of the middle shaft portion 28. For example, it is particularly preferably (minimum outer diameter of the tapered surface 40 -0.2 mm) to (minimum outer diameter of the tapered surface 40).
According to the minimum inner diameter D6 of the taper surface 48 being substantially the same as the minimum outer diameter of the taper surface 40, when the operating portion is moved relative to the handle body 24, the taper surface 40 ( Since at least a part of the tapered surface 48 (inner peripheral surface) of the O-ring 42 can always be brought into contact with the outer peripheral surface), the tightening force of the O-ring 42 against the tapered surface 40 of the middle shaft portion 28 is always applied. be able to.

  The maximum inner diameter D7 of the tapered surface 48 of the O-ring 42 is preferably equal to or larger than the maximum outer diameter D1 of the tapered surface 40 of the middle shaft portion 28, and is substantially the same as the maximum outer diameter of the tapered surface 40, for example, (Maximum outer diameter D1 of tapered surface 40) to (D1 + 0.1 mm) is particularly preferable.

  The minimum inner diameter of the tapered surface 48 of the O-ring 42 and the minimum outer diameter of the tapered surface 40 of the middle shaft portion 28 are substantially the same, and the maximum inner diameter of the tapered surface 48 and the maximum outer diameter of the tapered surface 40 are substantially the same. By being configured to be the same, when the middle shaft portion 28 of the operation portion is on the proximal end side (the state shown in FIG. 3), the taper of the O-ring 42 with respect to the taper surface 40 of the middle shaft portion 28. A relatively weak tightening force can be applied by the distal end of the surface 48, and when the middle shaft portion 28 of the operating portion is on the distal end side (the state shown in FIG. 4), A relatively strong tightening force by the entire surface of the tapered surface 48 of the O-ring 42 can be applied to the tapered surface 40.

FIG. 7 is a schematic diagram intermittently showing a state in which the O-ring 42 and the backup rings 41 and 43 move on the tapered surface 40 of the middle shaft portion 28 of the operation unit.
When the operation unit is moved from the distal end toward the proximal end with respect to the handle body, the O-ring 42 and the backup rings 41 and 43 are relatively moved in the axial direction toward the side having the smaller outer diameter on the tapered surface 40. .

FIG. 7 (1) corresponds to a state where the operation portion is at the distal end (state shown in FIG. 4), and at this time, the distal end portion of the catheter tube is in a bent state.
On the other hand, FIG. 7 (4) corresponds to a state where the operating portion is at the proximal end (state shown in FIG. 3), and at this time, the distal end portion of the catheter tube is in a straight line state.
7 (1) to 7 (4) show the tapered surface 40 (outer peripheral surface) of the central shaft portion 28 and the tapered surface of the O-ring 42 when the distal end portion of the catheter tube is returned from the bent state to the linear state. The contact state with 48 (inner peripheral surface) is shown.

The O-ring 42 shown in FIG. 7 has the shape shown in FIG. 6 in a state where no external force is applied, and the minimum inner diameter D6 of the tapered surface 48 (inner peripheral surface) is the minimum outer diameter of the tapered surface 40 of the middle shaft portion 28. The maximum inner diameter D7 of the tapered surface 48 (inner peripheral surface) is substantially the same as the maximum outer diameter D1 of the tapered surface 40 of the middle shaft portion 28.
The inner diameters of the backup rings 41 and 43 shown in FIG. 7 are substantially the same as the maximum outer diameter D1 of the tapered surface 40 of the central shaft portion 28.

As shown in FIGS. 7 (1) to (4), when the O-ring 42 and the backup rings 41 and 43 are relatively moved in the axial direction to the side having the smaller outer diameter on the tapered surface 40, the tapered surface 48 of the O-ring 42 is obtained. The contact area continuously changes between the (inner peripheral surface) and the tapered surface 40 (outer peripheral surface) of the central shaft portion 28 while maintaining a contact state with each other (tightened state by the O-ring 42 with respect to the tapered surface 40). As a result, the tightening force of the O-ring 42 continuously decreases.
As a result, the distal end portion of the bent catheter tube can be slowly and smoothly returned to the linear state, and the operability is excellent.

  On the other hand, instead of the O-ring 42 having the tapered surface 48, an O-ring having no tapered surface formed on the inner peripheral surface is mounted, and the taper surface of the central shaft portion is axially moved to the side having the smaller outer diameter. When the O-ring is relatively moved (the distal end portion of the bent catheter tube is returned to the straight state), as shown in FIG. 8 (2), the inner periphery of the O-ring 42C is obtained in the initial stage of the relative movement. The surface is separated from the tapered surface 40, so that the clamping force cannot be applied to the middle shaft portion 28. As a result, depending on the tension of the operation wire, the distal end portion of the catheter tube rapidly returns to a straight state. That is, the operability is inferior.

  Next, a method of using the distal deflection operation-enabled catheter 2 according to this embodiment will be described. The operator grasps the handle body 24 with one hand, operates the operation knob 22 with the finger of one hand, and moves the middle shaft portion 28 relative to the handle body 24 from the state shown in FIG. 3, for example, to the state shown in FIG. Assume that you have operated.

  In that case, since the middle shaft portion 28 is connected and fixed to the proximal end of the catheter tube 4, the catheter tube 4 moves in the axial direction relative to the operation wire 30. As a result, as shown in FIG. 1, the distal end portion of the catheter tube 4 is bent from a straight state as indicated by an arrow A.

  In addition, in the present embodiment, the O-ring 42 and the backup rings 41 and 43 are tapered with respect to the middle shaft portion 28 by moving the middle shaft portion 28 toward the distal end with respect to the handle body 24. The relative movement in the axial direction from the smaller outer diameter side to the larger side. That is, in this case, the force in the direction of expanding the O-ring 42 in the circumferential direction increases according to the movement. Since the inner diameter of the ring groove 46 does not change, the radial interval between the ring grooves 46 becomes narrower according to the movement, and the force with which the O-ring 42 presses the middle shaft portion 28 and the handle main body 24 becomes stronger. The frictional force between the ring 42 and the middle shaft portion 28 is increased.

  Further, when the middle shaft portion 28 is moved in the most proximal end direction with respect to the handle body 24, the O-ring 42 is positioned at a position where the outer diameter of the tapered surface 40 is the smallest relative to the middle shaft portion 28. positioned. Therefore, in this case, since the distance between the middle shaft portion 28 and the ring groove 46 is the largest, the force with which the O-ring 42 presses the middle shaft portion 28 and the handle body 24 is the smallest, and the O-ring 42 and the middle shaft portion 28 The frictional force is reduced. Accordingly, at the initial stage of movement in which the operation knob 22 is moved in the direction away from the handle body 24 in the axial direction, the operation knob 22 moves in the axial direction with a light force.

  Since the backup rings 41 and 43 are made of a member having a smaller frictional resistance than the O-ring 42, the backup rings 41 and 43 do not hinder the tightening or axial movement of the O-ring 42 with respect to the tapered surface 40. Further, since the backup rings 41 and 43 are made of a member having higher hardness than the O-ring 42, unlike the O-ring 42, tightening to the tapered surface 40 due to elastic deformation is small, and the taper of the O-ring 42 is Tightening and axial movement with respect to the surface 40 are not hindered.

  Further, the backup rings 41 and 43 prevent the O-ring 42 from being bitten into the gap between the handle body 24 and the tapered surface 40, and in particular, the gap between the distal end 44 a of the tip cap 44 and the tapered surface 40. It is possible to prevent the O-ring 42 from being bitten and to effectively prevent a moving operation failure.

  Even when the finger is released from the operation knob 22, as shown in FIG. 4, the O-ring 42 comes into contact with the tapered surface 40 having a large outer diameter. Does not move in the axial direction. Therefore, even if the finger is released from the operation knob 22, the distal end portion of the catheter tube 4 shown in FIG. 1 can maintain a bent state.

  In order to make the distal end of the catheter tube 4 shown in FIG. 1 straight, the manipulation knob 22 is moved in the axial direction against the frictional force between the tapered surface 40 and the O-ring 42. To the state shown in FIG. At that time, since the O-ring 42 moves from a large outer diameter portion to a small outer diameter portion on the tapered surface 40, the frictional force between the tapered surface 40 and the O-ring 42 gradually decreases.

  In addition, a taper surface 48 having a smaller inner diameter in the distal end direction and having an inclination angle larger than the inclination angle of the taper surface 40 of the central shaft portion 28 is formed on the inner peripheral surface of the O-ring 42. Therefore, when the distal end portion of the catheter tube 4 is straightened, the contact area (tapered surface 40 and O-ring 42) is maintained in a state where the contact between the tapered surface 40 and the tapered surface 48 is maintained. Therefore, the distal end portion of the bent catheter tube can be slowly and smoothly returned to the linear state.

  Further, the operability of the catheter handle can be adjusted by adjusting the force with which the backup rings 41 and 43 tighten the O-ring 42. When the tightening force increases, the frictional force between the tapered surface 40 and the O-ring 42 increases. When the tightening force decreases, the frictional force between the tapered surface 40 and the O-ring 42 decreases.

  The tightening force is adjusted by screwing the male threaded portion 51 of the handle body 24 into the female threaded portion 52 of the tip cap 44, and the axial length of the ring groove 46 is adjusted so that it is sandwiched between the backup rings 41 and 43. The O-ring 42 is deformed in the axial direction, and the tightening force of the O-ring 42 against the tapered surface 40 of the middle shaft portion 28 changes.

  A click ring may be interposed between the proximal end 44 b of the tip cap 44 and the handle body 24. The click ring is a member provided with a mechanism for providing a click feeling when the tip cap 44 is rotated in the circumferential direction. The adjustment of the tightening force can be performed after the assembly of the catheter handle and before being passed to an operator such as a doctor, or can be adjusted by the operator himself.

The present invention is not limited to the above-described embodiment, and can be variously modified. For example, the backup rings 41 and 43 are not essential components, and only the O-ring 42 may be mounted in the ring groove 46.
In addition, an O-ring having a tapered surface (inner peripheral surface) whose inner diameter increases in the distal end direction is mounted instead of the O-ring 42 having a tapered surface 48 (inner peripheral surface) whose inner diameter decreases in the distal end direction. May be. By forming the tapered surface so that the inner diameter of the O-ring continuously changes in the axial direction, the contact area accompanying the movement of the middle shaft portion 28 can be continuously changed, and a sudden change in the tightening force is prevented. be able to. However, the operability (change in weight (resistance) when the operating portion is moved) and the O-ring are better when the O-ring 42 having the tapered surface 40 of the central shaft portion 28 and the tapered surface 48 having the same inclination direction is attached. This is desirable from the viewpoint of durability.
Further, the catheter handle according to the present invention is not limited to the catheter capable of tip deflection operation in the illustrated embodiment, and can be applied to other catheters.

FIG. 1 is an overall perspective view of a catheter according to an embodiment of the present invention. FIG. 2 is a cross-sectional view of the main part of the catheter handle shown in FIG. FIG. 3 is a cross-sectional view showing a further essential part of FIG. FIG. 4 is a cross-sectional view showing a state in which the operation unit is moved from the state of FIG. FIG. 5 is a cross-sectional view showing a further essential part of FIG. FIG. 6 is a cross-sectional view showing the O-ring in a state where no external force is applied. It is a schematic diagram which shows intermittently the state which the O ring and backup ring which have a taper surface move about the taper surface of a center shaft part. It is a schematic diagram which shows intermittently the state which the O-ring and backup ring which do not have a taper surface move about the taper surface of a center shaft part.

Explanation of symbols

2 ... Tip deflection operable catheter 4 ... Catheter tube 20 ... Catheter handle 22 ... Operation knob 24 ... Handle body 28 ... Middle shaft portion 30 ... Operation wire 40 ... Tapered surface of the middle shaft portion 42 ... O-ring 41, 43 ... Backup Ring 44 ... End cap 46 ... Ring groove 48 ... Tapered surface of O-ring

Claims (6)

The handle body,
An operation unit that is mounted so as to be movable in the axial direction with respect to the handle body;
A ring-shaped elastic member mounted between the handle body and the operation unit;
The proximal end of the catheter tube is fixed to the operation part,
The elastic member is attached to the handle body,
A middle shaft portion constituting the operation unit enters the inner periphery of the handle body,
On the outer peripheral surface of the middle shaft portion entering the inner periphery of the handle body, a tapered surface having a smaller outer diameter in the distal end direction is formed.
The inner peripheral surface of the elastic member is in contact with the outer peripheral surface of the tapered surface, and is configured to be movable in the axial direction.
In the catheter tube, an operation wire is inserted,
The distal end of the manipulation wire is secured to a portion of the distal end of the catheter tube;
A proximal end of the operating wire is fixed to a part of the handle body;
The distal end portion of the catheter tube is bent by moving the operating portion from the proximal end toward the distal end relative to the handle body, and the elastic member has an outer diameter at the tapered surface. Move relatively in the axial direction to the larger side,
Wherein the inner peripheral surface of the elastic member, Thea tapered surface whose inner diameter becomes smaller in the distal end direction form is, the minimum inner diameter of said resilient tapered surface formed on the inner peripheral surface of the member, of the middle axle portion A catheter handle having a taper surface formed on an outer peripheral surface and having a minimum outer diameter or less .   By moving the operating portion from the proximal end toward the distal end relative to the handle body, the distal end portion of the catheter tube changes from a straight state to a bent state, and the elastic member 2. The catheter handle according to claim 1, wherein the catheter handle moves relative to the taper surface formed on the outer peripheral surface of the middle shaft portion in the axial direction to the side having a larger outer diameter.   The catheter according to claim 1 or 2, wherein an inclination angle of a tapered surface formed on an inner peripheral surface of the elastic member is larger than an inclination angle of a tapered surface formed on an outer peripheral surface of the central shaft portion. Handle. 4. The catheter according to claim 3 , wherein a maximum inner diameter of the tapered surface formed on the inner peripheral surface of the elastic member is equal to or greater than a maximum outer diameter of the tapered surface formed on the outer peripheral surface of the central shaft portion. handle. The minimum inner diameter of the tapered surface formed on the inner peripheral surface of the elastic member and the minimum outer diameter of the tapered surface formed on the outer peripheral surface of the central shaft portion are substantially the same,
4. The maximum inner diameter of the tapered surface formed on the inner peripheral surface of the elastic member is substantially the same as the maximum outer diameter of the tapered surface formed on the outer peripheral surface of the central shaft portion. The catheter handle described in 1. The catheter handle according to any one of claims 1 to 5, further comprising a backup ring on which the elastic member is mounted to be sandwiched from both axial sides of the handle body.

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